Rhode Island Behavioral Health Reimbursement Rates
Rhode Island behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$170.34
Medicaid 90837
$98.80
Commercial (est.)
$140.00–$170.00
Key CPT Code Rates — Rhode Island
CPT 90791
Diagnostic Evaluation
Medicare: $176.82
Medicaid: $102.55
CPT 90832
Psychotherapy, 30 min
Medicare: $87.56
Medicaid: $50.78
CPT 90834
Psychotherapy, 45 min
Medicare: $116.18
Medicaid: $67.38
CPT 90837
Psychotherapy, 60 min
Medicare: $170.34
Medicaid: $98.80
Medicaid in Rhode Island
Rhode Island Medicaid uses a managed care model. Published estimates approximate 58% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type. Rhode Island Medicaid psychotherapy rates remain below national averages.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: Rhode Island Medicaid fee schedule (effective 2026-01-01).
Explore Rhode Island Rates
Use the interactive explorer below — pre-loaded for Rhode Island.